Organization
CLOVE LAKES REHABILITATION AND OUTPATIENT SERVICES
Active
Parent organization
CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER, INC.
Authorized official
MARY BETH FRANCIS (ADMINISTRATOR)
(718) 289-7034
Entity
Organization
Contact information
Practice address
25 FANNING ST, STATEN ISLAND, NY 10314-5307
(718) 289-7878
Mailing address
25 FANNING ST, STATEN ISLAND, NY 10314-5307
(718) 289-7890
(718) 761-8701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01876104
—
NY
Enumeration date
06/13/2006
Last updated
07/17/2007
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